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Utah rates for HCPCS A4383

Ostomy pouch, urinary, for use on faceplate, rubber, each

Facilitymedian $10 · 10th–90th $10–$260%50%90th$10Professionalmedian $28 · 10th–90th $10–$1700%10%10th90th$28$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $25.12 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $37.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $44.67
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $39.81 / $39.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.14 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $30.20